| NPI | 1780578112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 012789) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 86299281) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-10 |